Ectopic pregnancy is defined as any pregnancy that implants outside the uterine cavity. Gestational trophoblastic disease (GTD) refers to a spectrum of interrelated but histologically distinct tumors originating from the placenta. We will report here a case of Intra-ligamenraty ectopic molar pregnancy. Left adnexectomy was done and pathologic examination confirmed ectopic with complete molar gestation. In this article, an attempt was made to stress on the need for histopathological examination and follow-up of every case of ectopic pregnancy.  History and Clinical Findings 25 years old female with two normal vaginal delivery came to our hospital on 16/6/2019, complaining of intermittent minimal vaginal bleeding for 6 months, during that time she had two times dilatation and curettage. there was a left adnexal mass with an empty uterus in Pelvic MRI. β-Human Chorionic Gonadotropin: 34745.33 mIU/ml.  Main Diagnose and Outcomes On admission, Laparotomy was done then left adnexectomy was done. The specimen was sent for histopathological examination and the results confirmed ectopic with complete molar gestation. Methotrexate was started due to the steadiness of β-Human Chorionic Gonadotropin but ultimately patient was diagnosed with gestational trophoblastic neoplasia and referred to another center outside of our country.  Conclusion Histopathological examination of products of conception remains the current gold standard for diagnosis. Post-molar surveillance is standard as there is a possibility of gestational trophoblastic neoplasia.

Keywords : Ectopic, Molar, Pregnancy, Histopathology.